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肺部感染非结核性菌根菌的感染
C Cano Rodríguez1, E Castañer González1, M Andreu Magarolas1
1Servicio de Radiodiagnóstico (UDIAT), Consorci Sanitari Parc Taulí, Sabadell, Barcelona, Spain.
Radiologia
|September 27, 2023
概括
非结核菌肺部感染带来了复杂的诊断挑战. 在大多数患者中,使用抗结核药物的治疗显示出改善,而抗生素导致放射性改善.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 不结核菌 (NTM) 肺部感染越来越多地被认可.
- 由于非特定的临床和放射学发现,诊断可能具有挑战性.
研究的目的:
- 描述NTM肺部感染的流行病学.
- 详细介绍NTM肺部感染中的CT发现.
- 为了评估NTM肺部感染的治疗结果.
主要方法:
- 对131名阳性NTM培养患者 (2005-2016) 的回顾性研究.
- 适用于NTM肺部感染的包括标准.
- 对流行病学,临床,微生物学,放射学,治疗和结果数据的分析.
主要成果:
- 包括34名患者;50%的患者有免疫抑制 (主要是HIV+).
- 常见的CT发现包括结节,树模式和整合.
- 抗结核药物改善了72%的患者;抗生素在放射学上改善了所有患者.
结论:
- NTM肺部感染需要复杂的诊断.
- 临床和放射学发现往往是不特定的.
- 同时感染在NTM肺部疾病中很常见.
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